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Exam 3: NUR202/ NUR 202 (New 202 5 / 2026
Update) Maternal Newborn Nursing Review |
Questions and Verified Answers| 100%
Correct| A Grade– Fortis
QUESTION
what is hydrocele? Answer: accumulation of fluid around the testes
- transilluminates with light
QUESTION
what is caput succedaneum? Answer: (NORMAL)
- edematous area over the scalp, it crosses the suture lines
- disappears 3 - 4 days after birth
QUESTION
what is a sign of newborn dehydration? Answer: depressed or sunken fontanels
QUESTION
what is indicated if a baby is missing any reflexes?
Answer: it is a sign of a neurologic impairments
QUESTION
what promotes thermal stability in the newborn? Answer: skin-to-skin contact
QUESTION
what is nevus simplex? Answer: Salmon patch Stork bite
- pink spots on the nape of the neck or forehead, blanches easily
QUESTION
what causes hyperbilirubinemia in babies? Answer: cephalhematoma (collection of blood in the head of the baby, it does not cross suture lines)
QUESTION
how to treat jaundice in infants? Answer:
- phototherapy
- feed every 2 - 3 hrs (excreted in the stool)
Answer: it promotes hemostasis (increases prothrombin by the liver and increases RBC production)
QUESTION
what should the nurse worry about with a low APGAR score? Answer: be worries about the babies respirations
QUESTION
when should you assess the APGAR score on an infant? Answer: at 1 & 5 min after birth
- every 5 min up to 20 minutes after birth if APGAR is less than 7
QUESTION
patient teaching for umbilical cord care Answer: keep dry, only use water if visibly soiled
QUESTION
what are contraindications for circumcision? Answer: hypospadias and epispadias
QUESTION
what is acrocyanosis? Answer: bluish discoloration of the hands and feet (normal for the first 24 hours)
QUESTION
what kind of infant formula is best? Answer: commercial iron-fortified forumla
QUESTION
what is a puerperal infection? Answer: bacterial infection 24 hours after childbirth, fever will last for at least 2 days and up to 10 days
QUESTION
what is the second leading cause of postpartum hemorrhage? Answer: lacerations and hematomas
QUESTION
what is sub involution? what are the signs and causes? Answer: failure of the uterus to return to pre-pregnancy state. signs: prolonged lochia/bleeding, enlarged uterus (palpable)
QUESTION
what are the signs and symptoms of hypovolemic shock? Answer: pale, cool, clams, weak and rapid pulse, low bp
- pt is at risk for altered tissue perfusion
QUESTION
what is the medical management for hypovolemic shock? Answer:
- give O2 10L non-rebreather
- assess LOC
- assess breaths
- make sure pt has 2 large bore IV sites
- fluid resuscitation (packed RBC's)
QUESTION
what is idiopathic thrombocytopenia purpura? Answer: autoimmune disease where the bloods antibodies kills its own platelets
- pt will have an increased risk for hemorrhage
QUESTION
what is the treatment for idiopathic thrombocytopenia purpura? Answer: treat prophylactically with corticosteroids, and pt may need a platelet transfusion
QUESTION
what does skin-to-skin contact do? Answer:
- promotes cardiopulmonary stability
- promotes thermal stability
- promotes bonding
QUESTION
what is considered apnea in the newborn? Answer: 20 seconds or longer without breathing
QUESTION
what are Mongolian spots? Answer: bluish black discoloration over buttocks and base of spine, more common on dark skin
- looks like a bruise (always document when you see one)
QUESTION
newborn feeding with infant formula nursing considerations Answer: feed the baby every 3 - 4 hours, if the baby is growing it might need to eat more often (don't put baby on a strict schedule during this time)
- may need to purp baby more often due to air in the bottle
QUESTION
describe newborn stool Answer:
- tachypnea
- diaphoresis
- temp instability
QUESTION
how to decrease neonatal abstinence syndrome symptoms? Answer: hold the baby tightly swaddle the baby decrease stimuli
QUESTION
what can meconium aspiration syndrome do to the newborn's respiratory rate? Answer: it can cause tachypnea, respirations can increase to 60bpm
QUESTION
what is brachial plexus injury? Answer:
- also called Erb's palsy
- damage to the newborn caused by shoulder dystocia, the babies are will hang limp
QUESTION
what can cause a newborn clavicle fracture?
- signs of this fracture Answer: shoulder dystocia
- baby will scream if you move affected arm
- baby will only move one arm (not the affected one)
- crepitus is felt with movement of affected arm
QUESTION
what are the clinical manifestations of chorioamnionitis? Answer: most common: Maternal and Fetal tachycardia, maternal fever above 104 other: foul smelling amniotic fluid, uterine tenderness
QUESTION
what is the 2 most common postpartum infection? Answer: endometritis and mastitis
QUESTION
what is endometriitis? when would you prophylactically treat for this?
- what is a sign of endometritis Answer: an infection of the lining of the uterus
- prophylactically treat pt with antibiotics if pt is getting a C-section
- pt will have a foul discharge smell
QUESTION
What is mastisis? Answer: infection of the breast tissue caused by plugged milk ducts
